Lawrenceville Dermatology Associates, P.C.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MA65743 Issued in NJ

Legal business name

LAWRENCEVILLE DERMATOLOGY ASSOCIATES, P.C.

Practice address

74 Franklin Corner Rd
Lawrenceville, NJ 08648-2102

Phone

(609) 896-3232

Fax

(609) 896-3233

NPI assigned

Jul 1, 2006

Last updated

Oct 19, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Steven Lee Hubert, MDNPI 1770586430

Title

President

Phone

(609) 896-3232

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Steven L Hubert, M.D.

  • Dermatology Physician
  • Lawrenceville, NJ
  • NPI 1770586430
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192752000000",
    "number": "1073542155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 FRANKLIN CORNER RD",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482102",
            "telephone_number": "609-896-3232",
            "fax_number": "609-896-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 FRANKLIN CORNER RD",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482102",
            "telephone_number": "609-896-3232",
            "fax_number": "609-896-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCEVILLE DERMATOLOGY ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2007-10-19",
        "status": "A",
        "authorized_official_last_name": "HUBERT",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-896-3232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "MA65743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence Public Schools
• Lawrence Spine & Wellness PA
• Lawrenceville Acupuncture Center, LLC
• Lawrenceville Dental Associates, LLC (Simply Beautiful Smiles of Lawrenceville)
• Lawrenceville Dental Implant Center and Periodontics, LLC
• Lawrenceville Eye Care LLC
• Lawrenceville Foot and Ankle Specialists LLC
• Lawrenceville Internal Medicine Assoc, LLC
• Lawrenceville Neurology Center, P.a.
• Lawrenceville Opticians Inc.

• Dermatology Physician in Lawrenceville, NJ
• Providers in Lawrenceville, NJ by specialty
• Dermatology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.